koyeh

koyeh

intensive care

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All Content by koyeh

  1. CVVH/CRRT ques.

    koyeh replied to first_lobster's topic in MICU, SICU

    The rep. just says per your hospital policy. I think they fear lawsuits etc if they recomend anything.

  2. CVVH/CRRT ques.

    koyeh replied to first_lobster's topic in MICU, SICU

    Thats my problem, I'm soppose to develop a policy & "train" everyone. It's simplistic to use, turn it own, set temp. apply to tubing. The doctors will not answere any of my questions regarding...

  3. Trauma ICU vs Med-surg

    koyeh replied to stanquim's topic in MICU, SICU

    I've worked 23 years in nursing and have done trauma, SICU and now MSICU. What I've learned is that there are challenges at all of them. What makes the biggest difference is who you work with. If...

  4. CVVH/CRRT ques.

    koyeh replied to first_lobster's topic in MICU, SICU

    CRRT & Hypothermia: What temp. do you consider cold and start trying to warm the patient with either a heating blanket or some other warming device? The reason why is our renal doctors want to...

  5. Reusing IV tubing - An infection control issue?

    koyeh replied to navalnurse's topic in MICU, SICU

    Our hospital propofol is 24 hours. started out every 6 hours then went to 12 hours and now 24 hours. This all came from a study someone did. Our infections rates are unchanged with the 24 hour...

  6. Reusing IV tubing - An infection control issue?

    koyeh replied to navalnurse's topic in MICU, SICU

    Tubing 72 hours, TPN,propofol, ativan, and antibiotic tubing 24

  7. CVVH/CRRT ques.

    koyeh replied to first_lobster's topic in MICU, SICU

    We are getting new prismaflex machines with an external heater. The heater can ge set up to 40 C. Does anyone have a policy regarding the heater regarding what to set the temperature at?

  8. CVVH/CRRT ques.

    koyeh replied to first_lobster's topic in MICU, SICU

    Our hospital went with Gambro and prismaflex, looks like a good move. They provide education and answere questions

  9. Has anyone EVER seen a patient come off CRRT alive?

    koyeh replied to rph3664's topic in Dialysis, Renal, Urology

    We do quite a bit of CRRT and they are starting to do it earlier and the sucess rate has improved. Yes people make

  10. CRRT training.

    koyeh replied to km5v6r's topic in PICU, Pediatric

    Hi, I know its been months since your question but I felt like a response is in order. It seem most hospitals have very poor education regarding CRRT. At our hosp. Get 4 hours training with the...

  11. Need Information about Asheville and NC Mountains

    koyeh replied to marsh101's topic in North Carolina Nursing

    Hi, yes I work at Mission. I am a diploma nurse, worked a couple of years and went back to college to get my BSN. Thought about a masters etc... really don't see the advantage yet. I like the idea...

  12. Finding it tough

    koyeh replied to AussieKylie's topic in First Year After Licensure

    You are correct, I have no clue how they handle it in Aussie/canada. So I'll keep my big mouth shut on that subject. Continue, to talk w your preceptor. She/He has been there and will be able to...

  13. Do You Have Computerized Charting?

    koyeh replied to All4Seasons's topic in General Nursing

    When our floor went to computerised charting even the family commented how much time the nurses spent on the computer. Heaven forbid, your patient crashed. Now you don't think about it( year later)....

  14. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Tried the dialysis nurse being responsible for prisma at first and it failed miserably. The ICU nurse wants control. Crrt: no matter what method is here to stay. I see a huge learning curve in the...

  15. Finding it tough

    koyeh replied to AussieKylie's topic in First Year After Licensure

    I precept alot and I would rather you ask, then do something & find out it that it was a major mistake. I don't trust people who try to force there way thru. My advice keep asking, talk to your...

  16. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Baxter users: Is there good support? Clinical and technical? I know there is an FDA hold but there is on gambro

  17. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Any SLED users? Is a dialysis nurse responsible for the machine and rotating b/t patients? Nurse for care

  18. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Thanks, for the answere. There is a huge difference in costs b/t prismaflex/ Fresenius and that seems to be running the negotiations at this

  19. Need Information about Asheville and NC Mountains

    koyeh replied to marsh101's topic in North Carolina Nursing

    Yes they have an IV

  20. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Our hospital is currently looking at the Fersenius machine for crrt and sled. Are there any other major concerns besides the large blood loss if the filter

  21. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    Wow, I really like the idea of nurses adjusting per intake and would miss the freedom to adjust. Actually we just had a new nephrologist that wouldn't let us adjust and learned very quickly the...

  22. CRRT: Who does it??

    koyeh replied to NephRN's topic in Dialysis, Renal, Urology

    What product are you using and are there any issues? We are currently using prisamflex: Had a lot of issues when we changed from prisma to prismaflex. The machines suddenly malfunctioned- pumps...

  23. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    What machine are you using? Are they User freindly? Our nephrologist are looking and we want a nursing freindly

  24. I&O, UF rate, & CRRT

    koyeh replied to dorimar's topic in MICU, SICU

    I do mine at the top of the hour. You add up all the fluids going in and set that #as fluid removal if running even. 50 less if negative, 50+ if running positive. You usually know if your going to...

  25. Greenville vs Asheville

    koyeh replied to ltvixen's topic in North Carolina Nursing

    I worked at PCMH 10 yrs ago. Not bad place to be but the difference is PCMH will probably pay more. I took a $4/hour pay cut when I moved to Asheville. Of course that was 10 years ago....